NUR 155 Exam 4 review

Question 1

Pain and sadness after a loss are never completely resolved and last longer than 6 months after a death.

Accepted Answer

Complicated ( unresolved) grief

Question 2

What is the maxiumum volume recommended for a subcutaneous injection?

Accepted Answer

1 mL

Question 3

Wong Baker FACES scale for what patient?

Accepted Answer

Nonverbal patients

Question 4

When the nurse is interpreting the medication order, all are true except?

Accepted Answer

Check with charge nurse if pt safety is a concern

Question 5

You do not need a filter needle to draw med from a vial.

Accepted Answer

True

Question 6

Your pt describes their pain 7/10. Which pain scale are they using?

Accepted Answer

The Numeric Rating Scale

Question 7

The nurse is about to teach a 90-year-old patient. In teaching an elderly patient, the nurse realizes what information?

Accepted Answer

Sensory alterations often occur with aging.

Question 8

A temporary defense to assist in the coping process

Accepted Answer

denial

Question 9

Which of these is a complicated loss? ( SATA)

Accepted Answer

loss of home, miscarriage, social stigma-general public share negative thoughts about a person

Question 10

Loss that is not validated or recognized.Type of grief is occurs when a loss happens that cannot be openly acknowledged.

Accepted Answer

´Disenfranchised grief

Question 11

At what angle can a subcutaneous injection be given?

Accepted Answer

Both A & B

Question 12

The nurse has to administer 8 mL of a med. Which syringe should she use?

Accepted Answer

10 mL syringe

Question 13

Which are nursing considerations when administering vaginal medications?

Accepted Answer

Instruct pt to remain in position for 5-10 mins following application.

Question 14

In preparing to teach the patient, the nurse must consider which concepts?

Accepted Answer

pain level, readiness to learn,health literacy, emotional status

Question 15

Neuropathic pain

Accepted Answer

is pain arises from abnormal or damaged pain nerves.

Question 16

Which is the most appropriate needle for an intramuscular injection on an adult?

Accepted Answer

1 inch- 20 gauge needle

Question 17

S/S of impending death are ( SATA)

Accepted Answer

mottled skin, decreased urine output

Question 18

What is the maximum volume of med recommended for a intradermal injection?

Accepted Answer

0.1 mL

Question 19

Pain can alter a persons vital signs.

Accepted Answer

True

Question 20

Preemptive analgesia ( medicating before painful event) would occur at what times? ( SATA)

Accepted Answer

before first PT session after surgery, before wound debridement, wound dressing change

Question 21

The nurse may administer a medication if he/she observes it being drawn up.

Accepted Answer

False

Question 22

When administering a rectal medication, which is an incorrect statement?

Accepted Answer

Instruct pt to remain in position with buttocks pressed together for 1 min.

Question 23

Subcutaneous injections should use which syringe?

Accepted Answer

1/2- 3mL

Question 24

Which one of these is a pharmacological intervention for pain? (SATA)

Accepted Answer

NSAID- non steroidal anti-inflammatory, morphine, tylenol

Question 25

You should should encourage the normal grieving process.

Accepted Answer

True

Question 26

You realize you accidentally gave your pt the wrong medication. What do you do first?

Accepted Answer

Asses you pt for any reactions to the medication.

Question 27

Your pt has been given 2 doses of opiod medication. Which VS would you be most concerned about

Accepted Answer

BP 125/92, RR 8

Question 28

Which best explains the Z- track method of injection?

Accepted Answer

Seals med into muscle tissue

Question 29

Occurs when true realization of the circumstances of the loss begin to emerge

Accepted Answer

anger

Question 30

The preferred site for an intramuscular injection is

Accepted Answer

Ventrogluteal

Question 31

Instruct pt not to use tampons after vaginal medication administration.

Accepted Answer

True

Question 32

Otic medications are used to treat eye infections and associated pain as well as glaucoma.

Accepted Answer

False

Question 33

Intradermal injections should be given at a 90 degree angle.

Accepted Answer

False

Question 34

The nurse is working with a diabetic patient and attempts to teach psychomotor skills. This occurs when the the patient

Accepted Answer

Draw up and self-inject insulin correctly

Question 35

Vaginal suppositories should be refrigerated.

Accepted Answer

True

Question 36

Which of these is true for chronic pain? (SATA)

Accepted Answer

lower HR, fatigue, decreased systolic BP, depression

Question 37

When planning to educate your pt, you should assess (SATA)

Accepted Answer

learning style, health literacy

NUR 155 Exam 4 review

Questions 37

NUR 155 Exam 4 review

Questions 37